S&C QCOR HHA 2567s
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HHAs 2567s
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Time Interval

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Provider Characteristics

Use these filters if you want to limit the report to providers that have certain characteristics. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

Survey Type & Deficiency Tags

Use these filters if you want to limit the reports to providers on specific survey types, or to reports that were cited for specific HHA deficiency tags and tag types. To select more than one option, hold down the Ctrl (individual point-and-click) OR Shift keys (select through a range) while you click on the additional desired option(s).

CCN and Facility Name

Use these filters if you know the name (or partial name) of the facility you are searching for, or the CMS Certification Number (CCN) for the facility you are searching for.

Other Survey Characteristics

Select one of the options below to filter by surveys that cite deficiencies or by surveys that are deficiency-free. By default, only surveys that cite deficiencies are displayed. Selecting "All" displays all surveys.

CMS Certification Number Facility Name Address City State CMS Region Date of CMS Survey Survey Event ID Survey Type Statement of Deficiencies Report
▼ 059482 Onoria Health Care Provider Inc 5050 Palo Verde Street Suite 119 Montclair CA 9 (San Francisco) 03/21/2024 6240A-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0023 Policies/Procedures for Medical Documentation Standard
G0658 Performance improvement projects Standard
G0682 Infection Prevention Standard
G0514 RN performs assessment Element
▼ 059482 Onoria Health Care Provider Inc 5050 Palo Verde Street Suite 119 Montclair CA 9 (San Francisco) 11/05/2020 K19811 Complaint
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0372 Encoding and transmitting OASIS Standard
G0374 Accuracy of encoded OASIS data Standard
G1024 Authentication Standard
G1012 Required items in clinical record Element
G1022 Discharge and transfer summaries Element
▼ 059482 Onoria Health Care Provider Inc 5050 Palo Verde Street Suite 119 Montclair CA 9 (San Francisco) 09/22/2020 MB1E11 Complaint, Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0570 Care planning, coordination, quality of care Condition
G0640 Quality assessment/performance improvement Condition
G0680 Infection prevention and control Condition
G0940 Organization and administration of services Condition
E0019 Homebound HHA/Hospice Inform EP Officials Standard
E0032 Primary/Alternate Means for Communication Standard
E0034 Information on Occupancy/Needs Standard
E0037 EP Training Program Standard
G0526 Content of the comprehensive assessment Standard
G0544 Update of the comprehensive assessment Standard
G0572 Plan of care Standard
G0578 Conformance with physician orders Standard
G0684 Infection control Standard
G0514 RN performs assessment Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0584 Verbal orders Element
G0590 Promptly alert relevant physician of changes Element
G0606 Integrate all services Element
G0652 Activities lead to an immediate correction Element
G0966 Assure patient needs are continually assessed Element
G0980 Primary HHA is responsible for patient care Element
G0984 In accordance with current clinical practice Element
▼ 059482 Onoria Health Care Provider Inc 5050 Palo Verde Street Suite 119 Montclair CA 9 (San Francisco) 12/13/2018 PJP511 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
G0682 Infection Prevention Standard
G1028 Protection of records Standard
G0580 Only as ordered by a physician Element
▼ 059494 Advance Specialty Care, Llc 3470 Wilshire Boulevard, #600 Los Angeles CA 9 (San Francisco) 01/17/2018 N60W11 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0151 GROUP OF PROFESSIONAL PERSONNEL Condition
G0156 ACCEPTANCE OF PATIENTS, POC, MED SUPER Condition
G0153 GROUP OF PROFESSIONAL PERSONNEL Standard
G0154 ADVISORY AND EVALUATION FUNCTION Standard
G0155 ADVISORY AND EVALUATION FUNCTION Standard
G0157 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0158 ACCEPTANCE OF PATIENTS, POC, MED SUPER Standard
G0164 PERIODIC REVIEW OF PLAN OF CARE Standard
G0323 TRANSMITTAL OF OASIS DATA Standard
G0337 DRUG REGIMEN REVIEW Standard
▼ 059506 Premier Home Health & Hospice Inc 2150 River Plaza Drive, Suite 320b Sacramento CA 9 (San Francisco) 04/18/2019 VZB011 Recertification
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0510 Comprehensive Assessment of Patients Condition
G0700 Skilled professional services Condition
G0518 Completion of the comprehensive assessment Standard
G0572 Plan of care Standard
G0704 Responsibilities of skilled professionals Standard
G0724 Supervise skilled professional assistants Standard
G0862 Laboratory services/CLIA waivers Standard
G0514 RN performs assessment Element
G0516 Skilled professional performs assessment Element
G0524 Therapy services determine eligibility Element
G0532 Continuing need for home care Element
G0536 A review of all current medications Element
G0580 Only as ordered by a physician Element
G0706 Interdisciplinary assessment of the patient Element
G0710 Provide services in the plan of care Element
G0714 Patient and caregiver education Element
G0716 Preparing clinical notes Element
G0948 Responsible for all day-to-day operations Element
G1012 Required items in clinical record Element
▼ 059511 Egb Holdings 151 Kalmus Drive, Suite D-101 Costa Mesa CA 9 (San Francisco) 04/04/2019 JWBT11 Complaint, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0572 Plan of care Standard
G0642 Program scope Standard
G0658 Performance improvement projects Standard
G0684 Infection control Standard
G1024 Authentication Standard
G0528 Health, psychosocial, functional, cognition Element
G0710 Provide services in the plan of care Element
▼ 059516 Healthy Living At Home- Fresno, Llc 1322 E Shaw Ave, Ste 430 Fresno CA 9 (San Francisco) 01/23/2018 WIP411 Complaint, Sample Validation
Deficiency Tag Deficiency Description Tag Type
G0000 Initial Comments - Not a Deficiency Citation Memo
G0109 RIGHT TO BE INFORMED AND PARTICIPATE Standard
G0143 COORDINATION OF PATIENT SERVICES Standard
G0177 DUTIES OF THE REGISTERED NURSE Standard
▼ 059520 Peace Home Health 2420 West Carson Street Suite 200 Torrance CA 9 (San Francisco) 08/02/2022 4F206-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0004 Develop EP Plan, Review and Update Annually Standard
G0572 Plan of care Standard
G0684 Infection control Standard
G0522 Eligibility for Medicare home health benefit Element
G0536 A review of all current medications Element
G0718 Communication with physicians Element
▼ 059521 Compassionate Hearts Home Health Inc 1270 E Garvey St Suite 200 Covina CA 9 (San Francisco) 12/07/2022 5E6D1-H1 Recertification
Deficiency Tag Deficiency Description Tag Type
E0000 Initial Comments - Not a Deficiency Citation Memo
G0000 Initial Comments - Not a Deficiency Citation Memo
E0006 Plan Based on All Hazards Risk Assessment Standard
G0572 Plan of care Standard
G0682 Infection Prevention Standard
G0704 Responsibilities of skilled professionals Standard
G0536 A review of all current medications Element